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BP12112
City of Blair Building Permit Detail Permit #: 12112 Issued: 5/23/2005 Completed: 10/6/2005 Location: 1020 James Drive Owner: Roger Olson Address: 1020 James Drive Phone: Blair, NE 68008 Type: Residential Additions Valuation: 25000 Permit Fee: 125 Issue Fee: 15 Deposit Amt.: 200 Receipt #: 14473 Section: Township: Range: Subdivision: Lot: Block: 22x16 sunroom on back of garage. East side. 50 feet from plot line on east side and 12' from plot line on north side. closed in windows around it. Will be on a foundation unfinished basement underneath. Will have electric. Contractors Gordy Ray Construction General Contractor Permit # Issued Judt Electric Electrical Subcontractor E2258 7/21/2005 Remarks 5/23/2005 DEM Sent copy of permit. Brandy Inspections Date By 6/15/2005 DEM Footings Pass 7/15/2005 DEM Framing Pass 7/15/2005 DEM Deck Footings Pass 7/21/2005 DEM Electrical Rough-ins Pass 7/21/2005 DEM Framing Pass 10/6/2005 DEM Electrical Final Pass 10/6/2005 DEM Final Inspection of Project Pass c BUILDING PERMIT APPLICATION ~~~' ®~ ~ Jurisdiction of City of Blair, Nebraska Permit Fee: ~) ~(~ 218 South 16th Street Issuance Fee: ~~' ~a ~~ ~ Blair, Nebraska 68008 Permit 121 12 Receipt #: 2) 426-4191 • Fax (402) 426-4195 Deposit Receipt #: ~ 3 ~~ ~~ Issue Date: ~'~' ~3` ~~ Type: O ~~~ ~1~i~ JOB ADDRESS j Cl C~r.~'C..~O ~ !J~-.~- LEGAL 1 . DESCR. ^ SEE ATTACHED SHEET OWNER ~ 2, O MAIL ADDRES G~~v~'~ ~ ,,~ ~ ZIP HOME PHONE WORKICELL PHONE ~~ ' CONT ~r R '3, S' - MAILADDRESS ZIP HOME PHONE WORK/CELL PHONE ~~ ~ j 7°~ 4. Class of Work: ^ NEW ADDITION ^ REMODEL ^ OTHER ^ FINISHED BASEMENT 0 UNFINISHED BASEMENT 5. Describe Work: ~~ ' X ~~ ' ~ ~~ d~ ~ ~ Q 0~J~ ~O ~ ~!i v7'- LZD ~ lliJ~ ~ 6. Valuation of Work: $~j~`"G p~, ~ Total Sq. Footag Including Baseme~ and Garage): ~ . ~~~e Total Finished Area: ~ u cr~yr Floodway O Yes Q No 7. FIOOdplain: Fringe O Yes Q No Dev. Permit BFE ~//jj Elev. Cert 8. Current Zoning: 9. State Fire Marshall Required: ^ Yes I~ No 10. Special Use Permit Required: Q Yes ~No. 11. Variance Required: ^ Yes ~No 12. Minimum Setbacks: Front ~ ~ Side 7 ~ Rear 13. Sidewalk Required: Yes ^ No Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By my signature below, I acknowledgethat payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered bythis permitapplication shall not be commenced until I have received a copy of this application form signed by the Building Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. I understand thatthis permit is void ifwork is not commenced within 180 days or is not completed within 2 years of date of issue. ~ '' z~ SIGNATURE Of OWNER/CONTR OR DATE Comment: .. MEET IBC, IRC, IPC, IMC AND NEC CODE-REQUIREME(~TS ' SLEEPING ROOMS BELOW THE FOURTH STORY AND IN BASEMENTS ARE REQUIRED TO HAVE AN EGRESS WINDOW. Site Plan Attached ^ Complete PI~ Attached Approximate Completion Date ~ 3© --~ ~ Inspections Required and Fees ili i Sewer Septic Water Service Remote Stop Box Card BB it Fo gs . Drywall (PRIG TO TAPING) Fra n F~ g EI ric I (~~~ Rou~ Fixtures F' I Permanent Service emporary Service ani Rough-in A1C , Final PI mbin - Ground Work Rough-in _ WHEN PROPERLY Final PERMIT - - Rev. 8J96 POUNDS PRIG: Blair, NE s~ ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: ~ _ a l' U~ Permit E 2 2 5 g ~S,1r;J Permit Fee: $ JOB ADDRESS 1 LEGAL O SEE ATTACHED SHEET DESCR. /~ ,~ 0 ER ~ ~~ MAILADDRESS ZIP WORKICOELL PHONE 6~ a lo`o` 3 CO ACTOR MAIL ADDRESS PHONE HOME PHONE L/ <'~ ~ ~ ~~ / WORKICELL PHONE G 4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL REMODELING/ADDITIONS O UPGRADE SERVICE 5• Describe Work: ~~ 6. Current License on File es O No O NA Completion Date ~~ ~ ~ "" OS~ ELECTRICAL PERMIT FEES New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ..........................:. $ 13.00 Upgrade Existing Service ...... $10.00 101-200 Amp Fee ............................ $ 18.00 Temporary Service ................ $10.00 201-300 Amp Fee ............................ $ 30.00 y ................. Fire Alarm S stem $10.00 301-400 Amp Fee ............................ $ 42.00 Si ns $15.00 9 ..................................... ....................... 401-500 Amp Fee ..... $ 55.00 501-600 Amp Fee .....................:...,.. $ 67.00 l)l~ ~l~ Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00 701-800 Amp Fee ............................ $ 92.00 ............. $105.00 801-900 Amp Fee Commercial/Multi-Family and All Upgrades: ............... 901-1000 Am $117.00 p ................................. # of Circuits x $2.00 ~' U ~ IF OVER 1000 Amp $117 00 1st 1000 Am Fee Am Fee P UJ . ....................... p Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total " ° New Residential: (Finished Area) NOTICE Single/Two Family Dwellings I hereby certify that I have read and examined this sq. ft. x .045 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00 work will be complied with whether specified herein or not. i itch Outlets IS ^ , w Receptacle/ S ty The granting of a permit does not presume to give author l cal th t t h i i f l C~ '' ~, l ~ , ` 75 p~- t W $ o any o er s a e or ons o to violate or cance t e prov s . Fixtures ~ x law regulating construction or the performance of Smoke Detectors x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 Power Apparatus (220 Volts) SIG RE OF CO TRACTOR OR AUTHORIZED AGENT # Apparatus x $3.00 1 Permit Issuance Fee ............. $15.00 / ~ UJ DATE TOTAL ~' WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: r ,, I - (/V POUNDS PRTG.-Blair, NE Rev. 11/99 - -- _ -- - ---,- BUILDING INSPECTION REPORT a. [~ CITY OF BLAIR . ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPF~ETIQN: ' O v y < 1 U~YVIA..(Y 1 VLF NAME OF OWNER• ~ I n ~ CONTRA DATE INSPECTION REQUESTED: U' ~ Q ~ TIME INSPECTION TYPE OF INSPECTION REQUESTED: BUILDING: ~ FOOTING ^ DECK FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL COMMENTS: FAILED UTILITIES: ^ SEWER TAP `^ SEWER ^ SEPTIC ^ WATER TAP ^ .REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ - PRECONNECT PASSED FAILED `' ^ PARTIAL ^ ^ COMMENTS: ~ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL SED FAILED ~ ~;'~ ' ~ ^ COMMENTS: PLUMBING: ~ ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PASSED FAILED _-~ ^ PRESSURE TEST ^ ^ COMMENTS: ' ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• ~-- ~/~ v as l la 9' yy~ ' ~ ~ - PERMIT N0: ^ CONFERENCE ^ STATUS CHECK OF INSPECTION MADE: ® ~, L..J FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY BUILDING INSPECTION REPORT ^ CTI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER l ~~ ~ ~~ ~, LOCATION OF INSPEC/TI,ON:~ y~ r\ ~ ~ j~ NAME OF OWNER: l~ ^' " CONTRACTOR: `"7VlJ~Or DATE INSPECTION REQUESTED• ~ ~ ~ ~ TIME INSPECTION REQUESTED• `` ~ PERMIT N TYPE OF INSPECTION REQUESTED: ~ ^ CONFERENCE BUII,DING: ^ FOOTING ^ DECK FOOTING COMMENTS: FRAMING ^ DRYWALL ^ FINAL ^ PARTIAL - -- F aas~~, 0. ^ STATUS CHECK PASSED FAILED UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL• ROUGH IN ^ FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS D FAILED ^ PARTLAL ^ COMMENTS: MECHANICAL: ^ COMMENTS: ROUGH-IN ^ A/C ^ FURNACE ^ RADIANT HEAT ^ FINAL ^ PARTIAL PASSED ^ FAILED ^ PLUMBING: ^ ^ COMMENTS: GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER INSTALLED ^ PARTIAL PRESSURE TEST PASSED ^ FAILED ^ ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• FAXED OPPD~BURT REA TO CONNECT SERVICE: ON TTMF.: BUILDING INSPECTION REPORT ~TI'Y OF BLAIR ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: /~~ y ~ /CIA/~ZP•D NAME OF OWNER• Q ~ CONTRALTO DATE INSPECTION REQUESTED• J TIME INSPECTION REQUESTED: w ' d ~ A' / !PERMIT N0: ~~ / /~ TYPE OF INSPECTION REQUESTED: ^ CONFERENCE ^ STATUS CHECK BUILDING: ^ FOOTING ^ DECK FOOTING ^ FRAMII~IG ^ DRYWALLFINAL ^ PA RTIAL ~ ~ PASS _ ~ FAILED ' ~ i , ` ~ _. ~ ^ COMMENTS: ~.u/l~ ~yl.V' X111/ • /-7 UTILTTIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE PASSED FAILED ^ PARTIAL ^ ^ COMMENTS: ELECTRICAL: ^ ROUGH IN FINAL ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ^ PRECONNECT PASS D FAILED :, ^ PART ~ ^ COMMENTS: ///`~~~ MECHANICAL: ^ ROUGH-IN ^ A/C ^ FURNACE " ^° RADIANT HEAT ^ FINAL ^ PARTIAL PASSED FAILED ^ ^ COMMENTS: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ WATER METER"INSTALLED ^ PARTIAL PASSED FAILED ^ PRESSURE TEST ^ ^ COMMENTS: ^ OCCUPANCY GRANTED ^ CONDITIONAL OCCUPANCY GRANTED NOTES/REMARKS• TIMF.• /v •- •DC~ FAXED OPPD~BURT REA TO CONNECT SERVICE: ON BY I ~~ !q 1 V 1 ~-- ;~e `.' -~ ~ ~ ~ [fl ~ ~ ~~ ~ ~y-~/ N / 7~° ~ ~ ~~ 0~ I ~~~I _. v V r ~~ ~~ e.e~.+s.~~.d ~~~~ ~~ ~a'~ ~a~0 v "l 1 S (,t7f d~ ~aw1~-s i~r. ~ia~~a~5~ i5 ~; Ie~- © v~ h ~~ ~~ ~~ ~~ ~~ 17th Ave J~ ~_~ ~~ ~~ ~~ ~~ ~~ ~~ ~~ ~~ ~.. ~~ CITY O ar°~ise of a1 BUILDING PERMIT SUPPORTING DOCUMENTS it acket includes various items dealing with particular code erm p articular This building p ermit requirements. It in no way includes ALL p requirements and/or building p d this acket is only o it is your responsibility to know the 20erstanternatiopnal Buildin code items. Als I to our project. Please and of the Code requirements that app y Y ermit process. A copy designed and distributed tos adva table for youbusel agthe Blair Public Library. International Building Code i e above disclosure and accept this building permit documentation on my I have read th half assuming full responsibility as the owner/contractor for this projec . own be ontractor Owner/Occupant ~~ ~ ~ r ~` r~Date City of Blair 218 South 1 bth Street • Blait Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 ciryofblair@huntel,net CITY O ~0 r°~ise of BUILDING PERMIT DEPOSIT AGREEMENT collected at the time of your building permit the City reserves the righ A $200.00 refundable deposit is being application for all permits $10,0000 and above. Howevconditions occur during the to not refund this deposit if any of the following ~od: 1 theft of water service by either the plumber, owneancy occuas construction pert ) occup all required inspections have not been obtained, 3) the project is contractor, 2) all ermits have not been obtained, and 5) prior to a final inspection, 4) p done. If any or all of these situations completed without a final ~ oupmay forfeit your deposit. occur during construction, y to the above conditions, and understand that should any or all of the 1, hereby agree ermit deposit S~ be forfeited or discounted above situations occur, the building p and Inspections Department. upon the discretion of the City of Blair, Building Contractor/Owner Con ractor/O er City of Blair ~, _ ~, ,. `~ ~- o ~ Date 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cityofblair@huntel.net ~;~~ .~~~ ,.~ :X ~~ ,sites' q ~- I, "~, s4 t.: 'rS . ~` _ ~. i` ~~ ~ ~, _'~MM ~.. .i''~ ~~ `~ ~~~~b ~G .~ -. _ - :=~ v ,~ ~; y Y ~.: _ _... _... i _.. ~ ; . ,.~~ ~ c .' != :* - ~,~„ _.,,,v_,,,~~~` )' ,. , „~ ~"` .. 1 ,~ _. K!``2,.b ._;' ' V k n...,._... r ~;;.~;: 1 •4 ~. ti !:' ~l~ K •. Y~~. S~/~~,..